Organization Active NPI

Giolekas Sports and Family Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Worcester, MA
National Provider Identifier
1063815066
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2228 Issued in MA
Legal business name
GIOLEKAS SPORTS AND FAMILY CHIROPRACTIC, INC.
Practice address
488 Pleasant St
Worcester, MA 01609-1857
Phone
(508) 752-7334
Fax
(508) 752-8469
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angelo Giolekas, D.C.NPI 1811080161
Title
Owner/President
Phone
(508) 752-7334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2228 MA Primary

Addresses

Primary practice location

488 Pleasant St
Worcester, MA 01609-1857

Mailing address

488 Pleasant St
Worcester, MA 01609-1857
Phone (508) 752-7334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106000848 MA Part B Supplier - Clinic/Group Practice 5799008314 Receives reassigned benefits from 2 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

475 Pleasant St
Ste 3
Worcester, MA 01609
Phone (508) 752-7334

617 Chandler St
Worcester, MA 01602
Phone (508) 752-7334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1063815066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091857",
            "telephone_number": "508-752-7334",
            "fax_number": "508-752-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091857",
            "telephone_number": "508-752-7334",
            "fax_number": "508-752-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIOLEKAS SPORTS AND FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "GIOLEKAS",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "508-752-7334",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.